• Title/Summary/Keyword: Multivariate Statistical Methods

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Impact of Early Enteral Nutrition on In-Hospital Mortality in Patients with Hypertensive Intracerebral Hemorrhage

  • Lee, Jeong-Shik;Jwa, Cheol-Su;Yi, Hyeong-Joong;Chun, Hyoung-Joon
    • Journal of Korean Neurosurgical Society
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    • v.48 no.2
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    • pp.99-104
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    • 2010
  • Objective : We conducted this study to evaluate the clinical impact of early enteral nutrition (EN) on in-hospital mortality and outcome in patients with critical hypertensive intracerebral hemorrhage (ICH). Methods : We retrospectively analyzed 123 ICH patients with Glasgow Coma Scale (GCS) score of 3-12. We divided the subjects into two groups : early EN group (< 48 hours, n = 89) and delayed EN group ($\geq$ 48 hours, n = 34). Body weight, total intake and output, serum albumin, Creactive protein, infectious complications, morbidity at discharge and in-hospital mortality were compared with statistical analysis. Results : The incidence of nosocomial pneumonia and length of intensive care unit stay were significantly lower in the early EN group than in the delayed EN group (p < 0.05). In-hospital mortality was less in the early EN group than in the delayed EN group (10.1% vs. 35.3%, respectively; p = 0.001). By multivariate analysis, early EN [odds ratio (OR) 0.229, 95% CI : 0.066-0.793], nosocomial pneumonia (OR = 5.381, 95% CI : 1.621-17.865) and initial GCS score (OR = 1.482 95% CI : 1.160-1.893) were independent predictors of in-hospital mortality in patients with critical hypertensive ICH. Conclusion : These findings indicate that early EN is an important predictor of outcome in patients with critical hypertensive ICH.

Stressful Life Events and Risk of Colorectal Cancer: A Case-Control Study of Iran

  • Azizi, Hosein;Esmaeili, Elham Davtalab
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.6
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    • pp.2403-2407
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    • 2015
  • Background: Very few analytical studies are available on any association between stressful life events (SLE) and colorectal cancer (CRC), at least in Iran. The aim of this case control study was to determine the association between stressful life events (SLE) and colorectal cancer. Materials and Methods: This study was conducted in four hospital colonoscopy units in Tabriz city of Iran including 414 participants aged 40-75 years: 207 cases with CRC confirmed by pathology and colonoscopy findings and 207 controls free of neoplastic conditions were selected (from the same hospitals at the same period for the cases and after matching for age and sex). Stressful life events were assessed using a 43-item Holmes and Rahe Life Events Questionnaire. Multivariate logistic regression was used to estimate adjusted odds ratios for SLE and risk of CRC. Results: The stressful life event mean score in the case group was 141.3, in contrast to 63.8 in the control group (p<0.011). After adjusting for confounders, death of dear ones increased the risk of CRC (OR: 2.49; 95%CI: 1.41-5.13). Other types of stressful life events (family and husband disputes, serious occupational problems, unemployment of > 6 months, and Serious financial problems) were also associated with CRC, but without statistical significance. Conclusions: According to our findings, it seems that SLE may increase the risk of CRC.

Workplace Smoking Ban Policy and Smoking Behavior

  • Kim, Beom-Soo
    • Journal of Preventive Medicine and Public Health
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    • v.42 no.5
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    • pp.293-297
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    • 2009
  • Objectives : To evaluate the impact of the workplace smoking ban in South Korea, where the male smoking rate is high (57%), on smoking behavior and secondhand smoke exposure. Methods : A workplace smoking ban legislation implemented in April 2003 requires offices, meeting rooms, and lobbies located in larger than 3,000 square meter buildings (or 2,000 square meter multipurpose buildings) should be smoke free. A representative cross-sectional survey, the third wave (2005) of health supplements in the National Health Nutrition Survey of South Korea, was used to measure the impact of the 2003 workplace smoking ban implementation on smoking behavior. It contained 3,122 observations of adults 20 to 65 years old (excluding selfemployed and non-working populations). A multivariate statistical model was used. The self-reported workplace smoking ban policy (full workplace ban, partial workplace ban, and no workplace ban) was used as the key measure. Results : A full workplace smoking ban reduced the current smoking rate by 6.4 percentage points among all workers and also decreased the average daily consumption among smokers by 3.7 cigarettes relative to no smoking ban. Secondhand smoke showed a dramatic decrease of 86 percent (= -1.74/2.03)from the sample mean for full workplace ban. However, public anti-smoking campaign did not show any significant impact on smoking behavior. Conclusions : The full workplace ban policy is effective in South Korea. Male group showed bigger impact of smoking ban policy than female group. The public antismoking campaign did not show any effectiveness.

The Effect of Self-controlled Feedback on Proprioception in Elbow Flexion of Healthy Subjects (정상성인의 팔굽 굽힘 시 자기통제 피드백이 고유수용성감각에 미치는 영향)

  • Yoon, Jung-Gyu
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.4
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    • pp.493-500
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    • 2012
  • PURPOSE: The purpose of this study was to investigate effect of self-controlled feedback on proprioception in elbow flexion. METHODS: Thirty young adult volunteered to participate and were randomly assigned to one of three groups (self-controlled, yoked, control). Power and velocity in elbow flexion was measured by PRIMUS RS (BTE Tech., Hanover, U.S.A). Statistical analysis was used multivariate ANOVA to know effect of self-controlled feedback on proprioception in elbow flexion. Post hoc was used Scheffe. RESULTS: In acquisition phase to practice effect, variable errors in self-controlled group was significantly low scored more than yoked and control group. In retention phase to learning effect, variable errors in self-controlled group was significantly low scored more than yoked and control group. CONCLUSION: Self-controlled feedback was more effective on movement control when the learner could make a decision about receiving feedback after the trial. This seems to support the view that self-controlled feedback benefits learning, because learners can make a decision about feedback based on their performance on a given trial.

Clinical predictive factors of pathologic tumor response after preoperative chemoradiotherapy in rectal cancer

  • Choi, Chi Hwan;Kim, Won Dong;Lee, Sang Jeon;Park, Woo-Yoon
    • Radiation Oncology Journal
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    • v.30 no.3
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    • pp.99-107
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    • 2012
  • Purpose: The aim of this study was to identify clinical predictive factors for tumor response after preoperative chemoradiotherapy (CRT) in rectal cancer. Materials and Methods: The study involved 51 patients who underwent preoperative CRT followed by surgery between January 2005 and February 2012. Radiotherapy was delivered to the whole pelvis at a dose of 45 Gy in 25 fractions, followed by a boost of 5.4 Gy in 3 fractions to the primary tumor with 5 fractions per week. Three different chemotherapy regimens were used (5-fluorouracil and leucovorin, capecitabine, or tegafur/uracil). Tumor responses to preoperative CRT were assessed in terms of tumor downstaging and pathologic complete response (ypCR). Statistical analyses were performed to identify clinical factors associated with pathologic tumor response. Results: Tumor downstaging was observed in 28 patients (54.9%), whereas ypCR was observed in 6 patients (11.8%). Multivariate analysis found that predictors of downstaging was pretreatment relative lymphocyte count (p = 0.023) and that none of clinical factors was significantly associated with ypCR. Conclusion: Pretreatment relative lymphocyte count (%) has a significant impact on the pathologic tumor response (tumor downstaging) after preoperative CRT for locally advanced rectal cancer. Enhancement of lymphocyte-mediated immune reactions may improve the effect of preoperative CRT for rectal cancer.

Family Context Factors and the Risk of Smoking among Male Adolescents in Saudi Arabia

  • Al-Zalabani, Abdulmohsen H
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.14
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    • pp.5847-5852
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    • 2015
  • Background: Smoking behavior is related to numerous factors, including psychosocial parameters. This study investigated the association between family context factors and smoking among male adolescents. Materials and Methods: A cross-sectional, school-based study was conducted during 2014. The study sampled 900 students from intermediate and secondary schools in Madinah City, Saudi Arabia. Data concerning smoking status, sociodemographic, parental and friends' smoking behavior, and family factors were collected using a self-administered questionnaire. These data were employed to estimate the prevalence of smoking using appropriate statistical analyses including multivariate logistic regression. Results: Of 900 students, 870 completed the study questionnaire (96.7%). Of the respondents, 181 students (20.8%, 95% CI=18.1%-23.5%) were current smokers, and a much higher prevalence was observed among adolescents with most or all of their friends smoking (48.1%) and those living with neither parent (47.4%). The adjusted risk of smoking increased significantly among adolescents who lived with neither parent (OR=3.3; 95% CI=1.1-9.2) and among those who reported little or no parental supervision (OR=1.5; 95% CI=1.0-2.1). Conclusions: Family context factors are associated with an increased risk of smoking behavior among male adolescents in Saudi Arabia.

Seismic damage potential described by intensity parameters based on Hilbert-Huang Transform analysis and fundamental frequency of structures

  • Tyrtaiou, Magdalini;Elenas, Anaxagoras
    • Earthquakes and Structures
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    • v.18 no.4
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    • pp.507-517
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    • 2020
  • This study aims to present new frequency-related seismic intensity parameters (SIPs) based on the Hilbert-Huang Transform (HHT) analysis. The proposed procedure is utilized for the processing of several seismic accelerograms. Thus, the entire evaluated Hilbert Spectrum (HS) of each considered seismic velocity time-history is investigated first, and then, a delimited area of the same HS around a specific frequency is explored, for the proposition of new SIPs. A first application of the suggested new parameters is to reveal the interrelation between them and the structural damage of a reinforced concrete frame structure. The index of Park and Ang describes the structural damage. The fundamental frequency of the structure is considered as the mentioned specific frequency. Two statistical methods, namely correlation analysis and multiple linear regression analysis, are used to identify the relationship between the considered SIPs and the corresponding structural damage. The results confirm that the new proposed HHT-based parameters are effective descriptors of the seismic damage potential and helpful tools for forecasting the seismic damages on buildings.

The Air Quality Analysis in Underground Shopping Centers Using Pattern Recognition (Pattern Recognition을 이용한 지하상가에서의 대기오염물질의 농도 분석에 관한 연구)

  • 김동술;김형석
    • Journal of Korean Society for Atmospheric Environment
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    • v.6 no.1
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    • pp.1-10
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    • 1990
  • The purpose of the study was to analyze air quality in underground shopping centers using pattern recognition methods. In order to perform this, the concentraion of air pollutants such as $CO, NO_2, NO_x, SO_2$, and particulate matters was measured at the 11 different shopping centers in Seoul metropolitan area and the total of 47 samples were obtained at random based on the size of shopping centers. To introduce a new concept of the "average concentration" for the indoor air quality analyses, the various multivariate statistical analyses have been studied. Thus, a cluster analysis was applied to separate the samples into pseudo-patterns and a disjoint principal component analysis was used to generate homogeneous patterns after removing outliers from the pseudo-patterns. The 6 homogeneous patterns were then obtained as follows:the first pattern was a group of clean sites;the second a group of sites having high dust concentration;the third a group of sites having high dust and $NO_x$ concentration;the fourth a group of sites having low dust and $SO_2$ concentraion and high CO concentration;the fifth a group of sites having high $NO_2 and SO_2$ concentration;and the final a group of miscellaneous sites. Thus, the average concentration could be estimated for each pattern.h pattern.

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판별분석을 이용한 토지이용별 토양 특성 변화 연구

  • Go Gyeong-Seok;Kim Jae-Gon;Lee Jin-Su;Kim Tak-Hyeon;Lee Gyu-Ho;Jo Chun-Hui;O In-Suk;Jeong Yeong-Uk
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 2005.04a
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    • pp.237-241
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    • 2005
  • The physical and chemical characteristics of soils in a small watershed were investigated and the effect of geology and land use on soil quality were examined by using multivariate statistical methods, principal components analysis and discriminant analysis. It was considered that the accumulation of salts in the farmland soils indicated by electrical conductivity, contents of cations and anions and pH was caused by fertilizer input during cultivation. The contents of inorganic components are increased as following order: upland > orchard > paddy field > forest. The results of two discriminant analyses using water extractable inorganic components and their ratios by land use were also clearly classified by discriminant function 1 and 2. In discriminant analysis by components, discriminant function 1 indicated the effect of fertilizer application and increased as following order: upland > orchard > paddy field > forest soil.

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The relationship between vocational calling and ethical inclination in clinical dental hygienists (일부 임상 치과위생사의 직업적 소명의식과 윤리적 성향의 관계)

  • Cheon, Sae-Hee;Lee, Hyang-Yeon;Cho, Mi-Suk
    • Journal of Korean society of Dental Hygiene
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    • v.14 no.6
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    • pp.813-820
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    • 2014
  • Objectives: The purpose of the study is to investigate the relationship between professional vocation and ethical inclination in clinical dental hygienists. Methods: A self-reported questionnaire was filled out by 221 clinical dental hygienist in Busan and Kyeongnam from April 1 to 30, 2014. The questionnaire consisted of structured questions including demographic characteristics(9 questions), vocational calling(9 questions), deontology(12 questions), asceticism(13 questions), and utilitarianism(8 questions). Questionnaire was carried out by Likert scale. Data were analyzed using the statistical package SPSS Window 19.0 for frequency, mean and standard deviation analysis, t-test, one-way ANOVA and linear regression. Results: There was a significantly positive correlation between professional vocation and ethical inclination. The deontology was associated with education, dental service career, duty hours, and number of clients in multivariate analysis after adjusting for socio-demographic characteristics and professional vocation. Asceticism was also correlated with education, and utilitarianism was closely associated with vocational calling, work place, number of clients, and monthly income. Conclusions: It is necessary to develop the curricula including vocational calling and ethical inclination in the dental hygiene education. The dental hygienists should learn the ethical and vocational calling as a professional career.